Effects of CPAP on Language Recovery in Post-Stroke Aphasia: A Review of Recent Literature.
Effects of CPAP on Language Recovery in Post-Stroke Aphasia: A Review of Recent Literature.
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CPAP 对脑卒中后失语症患者语言康复的影响：最新文献综述。
DOI：
10.3390/brainsci12030379
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发表时间：
2022-03-12
期刊：
影响因子：
3.3
通讯作者：
Riley EA
中科院分区：
文献类型：
--
作者：
Mercer E;Sherfey E;Ogbu C;Riley EA
阻塞性睡眠呼吸暂停在中风后人群中非常普遍，并且已被证明会影响认知，神经和功能状态。持续气道正压通气（CPAP）治疗是阻塞性睡眠呼吸暂停最有效的干预措施之一，但由于共存条件的混杂效应、治疗滴定程序的副作用以及个体患者的个性特征、感知和社会因素，依从性通常较低。目前的研究表明，CPAP治疗阻塞性睡眠呼吸暂停与显著的风险无关，并且可以随后改善卒中后运动和神经认知功能。然而，CPAP治疗对卒中后言语和语言恢复的影响仍不清楚。中风后沟通障碍（例如，失语症、构音障碍和失用症）在这一人群中也非常普遍。了解CPAP对语言恢复的潜在积极影响有助于患者遵守CPAP治疗的动机，并为语言病理学家将患者转诊给睡眠医学专家提供激励。在这篇文献综述中，我们研究了CPAP治疗对卒中后言语和语言功能及恢复的影响，并总结了目前对认知、神经和功能影响的认识。虽然这篇文献综述发现CPAP对不同的认知领域有不同的影响，但没有足够的证据来确定对语言恢复的影响。需要进一步研究以确定CPAP治疗对中风患者言语和语言恢复的潜在影响。
Obstructive sleep apnea is highly prevalent in the post-stroke population, and has been shown to affect cognitive, neurological, and functional status. Continuous positive airway pressure (CPAP) treatment is one of the most effective interventions for obstructive sleep apnea, but compliance is often low due to confounding effects of co-occurring conditions, side effects of treatment titration procedures, and individual patient personality characteristics, perceptions, and social factors. Current research suggests that CPAP treatment for obstructive sleep apnea is not associated with significant risk and can subsequently improve post-stroke motor and neurocognitive function. However, effects of CPAP treatment on post-stroke speech and language recovery remain unclear. Post-stroke communication disorders (e.g., aphasia, dysarthria, and apraxia) are also highly prevalent in this population. Knowledge of the potential positive impact of CPAP on language recovery could contribute to patients’ motivation to comply with CPAP treatment and provide incentive for speech-language pathologists to refer patients to sleep medicine specialists. In this review of the literature, we examine the question of what effect CPAP treatment may have on post-stroke speech and language function and recovery, as well as summarize the current knowledge on cognitive, neurological, and functional effects. While this review of the literature found CPAP to have varying effects on different cognitive domains, there was not sufficient evidence to determine effects on language recovery. Further research is necessary to determine the potential effects of CPAP treatment on speech and language recovery among stroke patients.
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影响因子：
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